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Travel Medicine (cont.)

What if I'm pregnant?

Pregnant women should consult with their obstetrician before travel. If available, a consultation with a travel-medicine specialist is also recommended. Live vaccines are usually avoided in pregnancy. Some medications must also be avoided. This may put pregnant women at higher risk for getting sick in a foreign country.

Pregnant women should also be aware that the quality of obstetrical care in foreign countries varies considerably. It is best to have the name of a reputable clinic or hospital on hand. Women in the third trimester should consider delaying travel until after delivery. Check with your health-insurance provider in advance to determine what is covered in the destination country.

Diarrhea, some types of hepatitis, and malaria can be especially severe in pregnant women. Follow food, water, and insect precautions. Avoid areas with malaria if at all possible, and take medications as directed.

What about traveling with children?

Some vaccinations and medications are not recommended for children. This means that the risk or severity of certain diseases is increased in children.

Diarrhea is more common in children because so much ends up in their mouths. Children can quickly become dehydrated. Make sure that your child keeps up with his or her fluids. Consider adding an oral rehydration solution to your medical kit.

Children are attracted to animals and are more likely to get bitten. Bite wounds may become infected or transmit rabies. Keep children away from animals. Newborns and infants are at special risk. Breastfeeding will help reduce the risk of diarrhea. There are limited options for malaria prevention in infants. Around the world, malaria remains one of the major causes of death in children.

Where can I find additional information?

  • The Centers for Disease Control and Prevention (CDC) has a wonderful Web site that can give you details about travel-related illnesses: http://www.cdc.gov/travel/. To contact the CDC by phone, call 877-FYI-TRIP.


  • The American Society for Tropical Medicine and Hygiene has a list of clinics that specialize in travel medicine: http://www.astmh.org/publications/clinics.cfm.


  • Your doctor will be able to help you manage chronic diseases abroad and get the vaccines and prescriptions you need.


Last Editorial Review: 7/11/2007




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